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Abstract

BACKGROUND: Postoperative hemorrhage (POH) remains a frequent and potentially dangerous complication in neurosurgical practice with profound impact on the prognosis of patient. OBJECTIVE: The aim of this study was to determine the prevalence of postoperative hemorrhage after intracranial procedures and explore the possible predisposing factors for POH. METHODOLOGY: This retrospective study was conducted on data between April 2019 and June 2024. The present study enrolled all patients who underwent intracranial surgical procedures in the management of various brain disorders. The data collected included age, gender, initial diagnosis, comorbidities, radiation and chemotherapy history, the type of surgery performed, post operative hemorrhage, mortality and morbidity of the patients. Data analyses were conducted using the (SPSS) version 25.RESULTS: A total of 356 craniotomies were performed, of which 14(4%) patients had postoperative hemorrhage (POH). Among these, 5 (35%) patients had hemorrhage after tumor removal, 4 (25%) after aneurysm clipping, and 6(40%) after endoscopic pituitary tumor resection. The average time for hemorrhage to occur was within the first 24 hours of surgery. Hypertension was identified as a significant risk factor for POH in 20% of cases.CONCLUSION: Postoperative hemorrhage (POH) after intracranial surgeries continues to be a serious complication. Intracranial procedures such as endoscopic pituitary tumor resection, tumor removal, and aneurysm clipping, are associated with increased incidence of post operative hemorrhage. Majority of the cases can be observed in the first 24 hours after surgery, highlighting the need for close observation.KEYWORDS: Complications, intracranial procedures, patient outcomes, postoperative hemorrhage